ArticleRevista de saude publica2016
Factors associated with low adherence to medicine treatment for chronic diseases in Brazil.
Article in Revista de saude publica, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.
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Who cites it
28 citing papers in PubMed.
- Multimethod analysis of adherence to preventive treatment for tuberculosis: a pragmatic randomized clinical trial.BMC infectious diseases · 2026Trial
- Effects of intravenous laser irradiation on viral load and T lymphocytes in people living with HIV/AIDS.Revista da Escola de Enfermagem da U S P · 2025Trial
- A Nutritional Strategy Based on Multiple Components for Glycemic Control in Type 2 Diabetes: A Multicenter Randomized Controlled Clinical Trial.Nutrients · 2024Trial
- Implantation of Pacemakers in Patients with Chagas disease: A Case-Control Study of Associated Contextual Factors and Prognosis.Arquivos brasileiros de cardiologia · 2026Article
- Prevalence and factors associated with poor self-assessed health in Brazilian adolescents: National School Health Survey 2019.Revista brasileira de epidemiologia = Brazilian journal of epidemiology · 2026Article
- Sociodemographic profile of patients treated by the Hemodynamics and Interventional Cardiology Service from Hospital São Paulo-Brazil.Revista da Associacao Medica Brasileira (1992) · 2025Observational
- Dissatisfaction with SUS pharmaceutical services and nonadherence to medication use.Revista de saude publica · 2025Article
- Onsite clinic utilization and adherence in semiconductor employees at chronic disease risk.PloS one · 2025Article
- Adherence to infliximab treatment in patients with immune-mediated inflammatory diseases from a referral center in Brazil: a cohort study.BMC gastroenterology · 2024Article
- [Prevalence of noncommunicable diseases and risk factors in rural population of San Luis, Argentina]Revista de la Facultad de Ciencias Medicas (Cordoba, Argentina) · 2024Article
- Non-use of diabetes medication and its associated factors: a comparative analysis of female and male patients in four Sub-Saharan African countries.BMC public health · 2023Article
- Two-Year Follow-Up of Chronic Ischemic Heart Disease Patients in a Specialized Center in Brazil.Arquivos brasileiros de cardiologia · 2023Article
- Effects of Melatonin Alone or Associated with Acyclovir on the Suppressive Treatment of Recurrent Genital Herpes: A Prospective, Randomized, and Double-Blind Study.Biomedicines · 2023Article
- Polypharmacy and the Change of Self-Rated Health in Community-Dwelling Older Adults.International journal of environmental research and public health · 2023Article
- Marker events associated with adherence to HIV/AIDS treatment in a cohort study.Revista de saude publica · 2023Article
- Low health literacy and quality of life in patients with systemic arterial hypertension.Dialogues in health · 2022Article
- Article
- Variables associated with adherence to the treatment of type 2 diabetes mellitus among elderly people.Diabetology international · 2022Article
- Medication-related burden and associated factors among diabetes mellitus patients at Felege Hiwot Comprehensive Specialized Hospital in northwest Ethiopia.Frontiers in clinical diabetes and healthcare · 2022Article
- Patient Adherence to Health Care Provider Recommendations and Medication among Free Clinic Patients.Journal of patient experience · 2022Article
Corrections and comments
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Authors and funding
9 authors.
Funding
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Abstract
objectiveTo analyze factors associated with low adherence to drug treatment for chronic diseases in Brazil.
methodsAnalysis of data from Pesquisa Nacional sobre Acesso, Utilização e Promoção do Uso Racional de Medicamentos (PNAUM - Brazilian Survey on Access, Use and Promotion of Rational Use of Medicines), a population-based cross-sectional household survey, based on a probabilistic sample of the Brazilian population. We analyzed the association between low adherence to drug treatment measured by the Brief Medication Questionnaire and demographic, socioeconomic, health, care and prescription factors. We used Poisson regression model to estimate crude and adjusted prevalence ratios, their respective 95% confidence interval (95%CI) and p-value (Wald test).
resultsThe prevalence of low adherence to drug treatment for chronic diseases was 30.8% (95%CI 28.8-33.0). The highest prevalence of low adherence was associated with individuals: young adults; no education; resident in the Northeast and Midwest Regions of Brazil; paying part of the treatment; poor self-perceived health; three or more diseases; reported limitations caused by a chronic disease; using five drugs or more.
conclusionsLow adherence to drug treatment for chronic diseases in Brazil is relevant, and regional and demographic differences and those related to patients' health care and therapy regime require coordinated action between health professionals, researchers, managers and policy makers. OBJETIVO: Analisar fatores associados à baixa adesão ao tratamento farmacológico de doenças crônicas no Brasil. MÉTODOS: Análise de dados oriundos da Pesquisa Nacional sobre Acesso, Utilização e Promoção do Uso Racional de Medicamentos (PNAUM), inquérito domiciliar de base populacional, de delineamento transversal, baseado em amostra probabilística da população brasileira. Analisou-se a associação entre baixa adesão ao tratamento medicamentoso mensurado pelo Brief Medication Questionnaire e fatores demográficos, socioeconômicos, de saúde, assistência e prescrição. Foi utilizado modelo de regressão de Poisson para estimar as razões de prevalência brutas e ajustadas, os respectivos intervalos de 95% de confiança (IC95%) e p-valor (teste de Wald). RESULTADOS: A prevalência de baixa adesão ao tratamento farmacológico de doenças crônicas foi de 30,8% (IC95% 28,8-33,0). As maiores prevalências de baixa adesão estiveram associadas a indivíduos: adultos jovens; que nunca estudaram; residentes na região Nordeste e Centro-Oeste do País; que tiveram que pagar parte do tratamento; com pior autopercepção da saúde; com três ou mais doenças; que referiam limitação causada por uma das doenças crônicas; e que faziam uso de cinco medicamentos ou mais. CONCLUSÕES: A baixa adesão ao tratamento medicamentoso para doenças crônicas no Brasil é relevante e as diferenças regionais, demográficas e aquelas relacionadas à atenção à saúde do paciente e ao regime terapêutico requerem ações coordenadas entre profissionais de saúde, pesquisadores, gestores e formuladores de políticas para o seu enfrentamento.
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